How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $1,000.00 Median $1,479.11 Typical High $1,479.11 | Facility | None | $1,000.00 | $1,479.11 | $1,479.11 |
Aetna Setting Professional Modifier None Typical Low $1,000.00 Median $1,479.11 Typical High $2,089.30 | Professional | None | $1,000.00 | $1,479.11 | $2,089.30 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,238.72 Median $2,238.72 Typical High $10,232.93 | Facility | None | $2,238.72 | $2,238.72 | $10,232.93 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,096.48 Median $1,348.96 Typical High $1,819.70 | Professional | None | $1,096.48 | $1,348.96 | $1,819.70 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $812.83 Median $831.76 Typical High $1,548.82 | Professional | UE · Used equipment | $812.83 | $831.76 | $1,548.82 |
BCBS Kansas City Setting Professional Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $2,238.72 | Professional | None | $1,348.96 | $1,348.96 | $2,238.72 |
Cigna Setting Facility Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $1,698.24 | Facility | None | $1,584.89 | $1,584.89 | $1,698.24 |
Cigna Setting Professional Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,584.89 | Professional | None | $1,148.15 | $1,148.15 | $1,584.89 |
Medica Setting Facility Modifier None Typical Low $1,000.00 Median $2,089.30 Typical High $9,772.37 | Facility | None | $1,000.00 | $2,089.30 | $9,772.37 |
Medica Setting Professional Modifier None Typical Low $758.58 Median $1,096.48 Typical High $11,748.98 | Professional | None | $758.58 | $1,096.48 | $11,748.98 |
United Setting Facility Modifier None Typical Low $1,202.26 Median $1,258.93 Typical High $2,454.71 | Facility | None | $1,202.26 | $1,258.93 | $2,454.71 |
United Setting Professional Modifier None Typical Low $724.44 Median $1,096.48 Typical High $1,548.82 | Professional | None | $724.44 | $1,096.48 | $1,548.82 |
5 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $501.19 Median $741.31 Typical High $1,047.13 | Professional | 52 · Reduced service | $501.19 | $741.31 | $1,047.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $199.53 Median $295.12 Typical High $416.87 | Professional | 53 · Discontinued | $199.53 | $295.12 | $416.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $151.36 Median $223.87 Typical High $309.03 | Professional | 55 · Aftercare only | $151.36 | $223.87 | $309.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $100.00 Median $147.91 Typical High $208.93 | Professional | 56 · Pre-op care only | $100.00 | $147.91 | $208.93 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $112.20 Median $112.20 Typical High $1,122.02 | Professional | RR · Rental | $112.20 | $112.20 | $1,122.02 |
Where Missouri sits
The same service costs 2.8 times more in Hawaii than in Washington, DC. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Missouri· 27th of 51
$1,259
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.